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Dr. Jeffrey B. Kaplan , MD

Pathology - Anatomic Pathology • Aurora, CO

Active NPI 1700068632 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

12605 E 16th Ave
Aurora, CO 800452545

Call 3034937000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12605 E 16th Ave

Aurora, CO 800452545

Telephone 3034937000
Organization at the Same NPPES Address or Phone
University Of Colorado Hospital Authority Facility NPI 1477531580

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: University Physicians Incorporated. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Temple University School Of Medicine

Graduation Year

2004

Medicare patients

445 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $50,482 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $38,305 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

14 standardized 30-day fills in 2016

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$295 in 2016

The total cost of these prescriptions in 2016, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2016.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

22 years (graduated 2004)

CMS Doctors and Clinicians data list 2004 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Kaplan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Kaplan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Aurora and Colorado

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Not enough clinicians listed under Pathology - Anatomic Pathology in Colorado have Medicare Part B data for 2024 to make a comparison.

Medicare-allowed amount

Not enough clinicians listed under Pathology - Anatomic Pathology in Colorado have Medicare Part B data for 2024 to make a comparison.

Paid by Medicare

Not enough clinicians listed under Pathology - Anatomic Pathology in Colorado have Medicare Part B data for 2024 to make a comparison.

9 active clinicians are listed under Pathology - Anatomic Pathology with a practice address in Aurora, CO (23 in Colorado).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2016), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity
697 352 $157.58 $36.24
88342 Special stained specimen slides to examine tissue, initial procedure
128 114 $159.50 $33.86
88313 Special stained specimen slides to examine tissue including interpretation and report
116 41 $50.03 $11.70
88341 Special stained specimen slides to examine tissue, each additional procedure
91 30 $118.37 $27.09
88307 Pathology examination of tissue using a microscope, moderately high complexity
85 61 $349.20 $79.34
88309 Pathology examination of tissue using a microscope, high complexity
52 37 $621.73 $140.05
88331 Pathology examination of specimen during surgery, first tissue block
37 16 $264.97 $59.87
88304 Pathology examination of tissue using a microscope, moderately low complexity
35 35 $48.86 $11.03
88312 Special stained specimen slides to identify organisms including interpretation and report
17 11 $112.47 $25.79

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2016.

CMS Part D · Data Year 2016
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tamsulosin Hcl Tamsulosin Hcl 12 420 $295.27 —

Source: CMS Part D by Provider and Drug, 2016; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Pathology - Anatomic Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0101X

License # reported to NPPES CA A99878

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Colorado Division of Professions and Occupations.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00A998780 (CA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PATHOLOGY

Medicare Enrollment ID

I20110921000757

Enrollment State Jurisdiction

CO

PECOS Control ID

6103981998

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

University Physicians Incorporated

1500 Park Central Dr, Highlands Ranch, CO 801296688

Phone: 7205161100

University Physicians Incorporated

12605 E 16th Ave, Aurora, CO 800452545

Phone: 7208480000

University Physicians Incorporated

13123 E 16th Ave, Aurora, CO 800457106

Phone: 7207771234

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Jaclyn Arends , MD

Physical Medicine & Rehabilitation

NPI 1952385890

Doctor of Medicine (M.D.)

Dr. Sanford Benjamin , MD

Internal Medicine - Gastroenterology

NPI 1912009192

Doctor of Medicine (M.D.)

Dr. Kimber Bogush , MD

Emergency Medicine

NPI 1700825015

Doctor of Medicine (M.D.)

Dr. Daniel Bowles , MD

Internal Medicine - Medical Oncology

NPI 1720134315

Doctor of Medicine (M.D.)

Dr. Jonathan Bravman , MD

Orthopaedic Surgery - Sports Medicine

NPI 1942347216

Doctor of Medicine (M.D.)

NPI 1649614181

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Career & Practice History

NPI enumerated December 03, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1700068632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2007
Last Update: June 14, 2013
Sole Proprietor: No

Other Pathology - Anatomic Pathology Specialists in Aurora

Healthcare providers in Aurora

Mailing Address

Po Box 110429

Aurora, CO 800420429

Phone: 3034937000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.